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This is VAERS ID 449031

Case Details

VAERS ID: 449031 (history)  
Age: 14.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:184
Submitted: 2012-02-06
   Days after onset:158
Entered: 2012-02-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Affective disorder, Alanine aminotransferase normal, Amenorrhoea, Amnesia, Appetite disorder, Arthralgia, Arthropod bite, Aspartate aminotransferase normal, Asthenia, Back pain, Blood alkaline phosphatase normal, Blood bilirubin decreased, Blood cortisol normal, Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, Blood test normal, Borrelia test negative, Cardiac electrophysiologic study normal, Chest discomfort, Crying, Depression, Disturbance in attention, Dizziness, Dyspnoea, Dyspnoea exertional, Echocardiogram, Echocardiogram normal, Electrocardiogram ambulatory normal, Electrocardiogram normal, Electroencephalogram normal, Electromyogram normal, Electrophoresis normal, Epstein-Barr virus antibody positive, Family stress, Fatigue, Gamma-glutamyltransferase normal, General physical health deterioration, Heart rate decreased, Human chorionic gonadotropin decreased, Hyperhidrosis, Hypersensitivity, Hypersomnia, Joint lock, Laboratory test normal, Loss of consciousness, Malaise, Menstrual disorder, Movement disorder, Muscle spasms, Myalgia, Narcolepsy, Nervous system disorder, Nuclear magnetic resonance imaging brain normal, Pain in extremity, Pallor, Peripheral coldness, Postictal state, Red blood cell sedimentation rate increased, Sleep disorder, Sleep study abnormal, Social problem, Somnolence, Thyroid function test normal, Ultrasound Doppler normal, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Fertility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Scoliosis; Congenital hip dislocation
Diagnostic Lab Data: Cardiac electrophysiology, 23Nov11, normal; Electroencephalography, 24Nov11, strictly normal with a normal somnolence and sleep for her age; Magnetic resonance imaging, 02Jan12, brain: did not find any patent anomaly; Blood pressure measurement, 10.5-10.6; Electrocardiogram; Carotid artery massage, did not show any hyper reflexivity; Electrocardiogram, normal; Ultrasound, Doppler tissue imaging screening: a mitral annulus normal; Ultrasound, Echodoppler; Holter monitoring, normal; Sleep study, 14, Epworth Sleepiness Scale; Electromyography, did not show any anomaly; Sleep study, 8-10 24H, Epworth Sleepiness Scale; Physical examinatin, normal; Blood LDH, 22Nov11, 609 IU/I; Serum beta-human chorionic gonadotropin, 22Nov11, <2 IU/I; Serum crea
CDC Split Type: WAES1111USA00812

Write-up: Information has been received from a physician on 20-OCT-2011. Case reported as serious (hospitalization and disability). Case medically confirmed. A 17-year-old female patient had received the third dose of GARDASIL (batch number not reported) on an unspecified date. One month after vaccination, the patient experienced myalgia, shortness of breath and had no more strength. At the time of reporting, the outcome was not provided. To be noted that the patient was followed by a cardiologist, and that according to the patient''s mother, the events were due to the vaccine. Follow-up information received on 24-JAN-2012: The patient was 14-year-old at the time of the events instead of 17 as previously reported. The patient had received the first dose of GARDASIL (batch number not reported) on 01-MAR-2011, the second dose (batch number NM23050) on 27-MAY-2011, and the third dose (batch number NM45890) on 29-AUG-2011. She had concomitantly received NEISVAC-C (other manufacturer, batch number VN914776) on 18-JUN-2011. Starting in the middle of September-2011, the patient was found severe asthenia, concentration impaired, appetite disorder, menstrual disorder and movements disorder. The patient also experienced narcolepsy accompanies by fine movements disorder. The disorders rapidly deteriorated. The patient was referred to a cardiologist dud to chest oppression and shortness of breath, and to a rheumatologist due to diffuse joint pain. She was subsequently hospitalized. Consultation at the cardiologist on 19-OCT-2011: The patient who used to practice high sporting activity up to the last summer presented since then severe asthenia with a need for prolonged sleep period furthermore, she also presented with malaises, some of them occurring just after practice sport with a sensation of slow heart beat which necessitated that she sat down, then followed by lipothymia without loss of consciousness. Other malaises occurred when she was in a sitting position, during the meal, or even lying down. It was difficult to assess whether she had lost consciousness. There was no familial history of heart disease, in particular no history of rhythmology anomaly which could have led to early serious events. Blood pressure was 10.5-6, hear sounds were regular, there was no sound or pathological add- on murmur. Distal pulse could be heard, there was no cervical murmur, lung auscultation was correct. Electrocardiogram showed sinusal rhythm 94/mm, PR interval 0-16, QRS axis superior to 40, supple repolarization, Q-T interval 0-28 for a theorical basis of 0-31. Carotid sinus massage did not show any hyper reflexivity. Echodoppler was reassuring with a good global and segmentary contractility and no stigma of pulmonary arterial hypertension, no shunt, no cavitary dilatation particularly left artrial. Doppler tissue imaging screening showed a mitral annulus normal. To be noted that the patient had experienced cutaneous hyper reactivity consequently to mosquito bites. The cardiologist suspected a possible tick bite which could lead to search for arguments suggestive of Lyme disease. 24h-ECG Holter monitoring was recommended. Consultation at hospital on 17-NOV-2011: The patient used to practice piano, dancing and sailing. During the last summer she had practiced sailing and cycling in a sport summer camp. To be note that the patient had started to have her periods from 9 years old to 11 years old. She now had her periods since the age of 13 under treatment with DUPHASTON which had recently been interrupted. On examination she presented with malaises with sensation for cardiac arrest. She presented with 4 malaises apparently with no prodrome, accompanied by hypersomnia (the patient slept for approximately 1 hour). When she was seen by her family and friends circle, she was found to have a sensation of white and cold hands and sweating. There was no notion of aura before these malaises, no loss of urine and no tonic-clonic movements. But the patient presented with p

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